1. A nurse is discussing an older adult's recent diagnosis of rheumatoid arthritis with
a colleague. Which of the nurse's statements reflects an accurate view of the
relationship between aging and wellness?
A) “We need to ensure that the client's expectations of continuing to live alone are
realistic.”
B) “We need to make sure our teaching is not too detailed for a client of this age.”
C) “It's important that the client knows this is an expected part of growing older.”
D) “We need to teach the client that rheumatoid arthritis is not part of the aging
process and that the client should increase functional activities.”
2. A nurse is teaching an older person about the concept of successful aging. Which
of the nurse's questions addresses an important contributor to successful aging?
A) “Are you largely free of acute or chronic illnesses?”
B) “Do you feel financially secure?”
C) “Are you able to engage in activities of daily living, including social activities?”
D) “Do you have a reliable support network?”
3. An older adult has recently begun to display unprecedented lapses in short-term
memory. The nurse overhears a colleague reassuring the person by saying, “Try
not to worry; it's just a part of growing older.” This is an example of which
phenomenon?
A) multiple jeopardy
B) gerontophobia
C) age attribution
D) implicit ageism
4. A nurse hears a colleague make the statement, “The majority of older adults have
nothing to worry about financially.” Which response is most appropriate?
A) “You have to remember that there's a huge economic disparity among older adults.”
B) “Actually, the number of older people living below the poverty line has been
increasing, not decreasing.”
C) “This isn't really true now, but it is true that the gaps that disadvantaged groups live
with are expected to shrink.”
D) “This is true for some groups but not for minorities, who are less likely to be living
with their relatives.”
Page 1
, 5. A nurse is conducting a study on the needs and living situations of older adults in
the community to provide quality discharge planning for clients. Which statement
should the nurse take into account?
A) A majority of older Americans will live in a nursing home at some point.
B) More older men live alone than older women.
C) Assisted living arrangements have become increasingly common alternatives to
nursing homes.
D) Most older Americans reside in some form of institutional arrangement.
6. A nurse who provides care to many older adults recognizes the importance of
implementing a wellness approach to care. What principle underlies this
approach to the health care of older adults?
A) Older adults have decreasing expectations for wellness as they move through the
aging process.
B) Health problems are a Western cultural construct that has no objective physiologic
basis.
C) Older adults must come to accept a decline in wellness as they age.
D) A holistic approach to caring for older adults can foster their well-being at every
stage of life.
7. A diabetes nurse is providing care for an older adult client who is a regular client
of the hospital's outpatient diabetes clinic. What assessment question most clearly
addresses this client's potential for optimal function?
A) “What are some goals that you have for maximizing your level of wellness?”
B) “How can we help you to take ownership of your own health?”
C) “Is there anything that you're doing that might be exacerbating your diabetes?”
D) “How long do you think that you'll be able to live independently?”
8. A nurse cares for an older adult client whose current hospital admission is
prompted by an exacerbation of chronic renal failure. Which action by the nurse
will best emphasize the goal of client wellness?
A) Ask that the client's code status be changed to “do not resuscitate.”
B) Explore the client's abilities and strengths.
C) Show the client others who are more ill.
D) Teach the client that health problems do not have to affect daily routines.
Page 2
a colleague. Which of the nurse's statements reflects an accurate view of the
relationship between aging and wellness?
A) “We need to ensure that the client's expectations of continuing to live alone are
realistic.”
B) “We need to make sure our teaching is not too detailed for a client of this age.”
C) “It's important that the client knows this is an expected part of growing older.”
D) “We need to teach the client that rheumatoid arthritis is not part of the aging
process and that the client should increase functional activities.”
2. A nurse is teaching an older person about the concept of successful aging. Which
of the nurse's questions addresses an important contributor to successful aging?
A) “Are you largely free of acute or chronic illnesses?”
B) “Do you feel financially secure?”
C) “Are you able to engage in activities of daily living, including social activities?”
D) “Do you have a reliable support network?”
3. An older adult has recently begun to display unprecedented lapses in short-term
memory. The nurse overhears a colleague reassuring the person by saying, “Try
not to worry; it's just a part of growing older.” This is an example of which
phenomenon?
A) multiple jeopardy
B) gerontophobia
C) age attribution
D) implicit ageism
4. A nurse hears a colleague make the statement, “The majority of older adults have
nothing to worry about financially.” Which response is most appropriate?
A) “You have to remember that there's a huge economic disparity among older adults.”
B) “Actually, the number of older people living below the poverty line has been
increasing, not decreasing.”
C) “This isn't really true now, but it is true that the gaps that disadvantaged groups live
with are expected to shrink.”
D) “This is true for some groups but not for minorities, who are less likely to be living
with their relatives.”
Page 1
, 5. A nurse is conducting a study on the needs and living situations of older adults in
the community to provide quality discharge planning for clients. Which statement
should the nurse take into account?
A) A majority of older Americans will live in a nursing home at some point.
B) More older men live alone than older women.
C) Assisted living arrangements have become increasingly common alternatives to
nursing homes.
D) Most older Americans reside in some form of institutional arrangement.
6. A nurse who provides care to many older adults recognizes the importance of
implementing a wellness approach to care. What principle underlies this
approach to the health care of older adults?
A) Older adults have decreasing expectations for wellness as they move through the
aging process.
B) Health problems are a Western cultural construct that has no objective physiologic
basis.
C) Older adults must come to accept a decline in wellness as they age.
D) A holistic approach to caring for older adults can foster their well-being at every
stage of life.
7. A diabetes nurse is providing care for an older adult client who is a regular client
of the hospital's outpatient diabetes clinic. What assessment question most clearly
addresses this client's potential for optimal function?
A) “What are some goals that you have for maximizing your level of wellness?”
B) “How can we help you to take ownership of your own health?”
C) “Is there anything that you're doing that might be exacerbating your diabetes?”
D) “How long do you think that you'll be able to live independently?”
8. A nurse cares for an older adult client whose current hospital admission is
prompted by an exacerbation of chronic renal failure. Which action by the nurse
will best emphasize the goal of client wellness?
A) Ask that the client's code status be changed to “do not resuscitate.”
B) Explore the client's abilities and strengths.
C) Show the client others who are more ill.
D) Teach the client that health problems do not have to affect daily routines.
Page 2
